Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.02 / $342.02 / $342.02	Facility		$342.02	$342.02	$342.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $348.47 / $608.79	Professional		$323.70	$348.47	$608.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.99 / $745.79 / $1,233.94	Facility		$677.99	$745.79	$1,233.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.99 / $630.53 / $833.92	Professional		$603.99	$630.53	$833.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $487.74 / $1,450.90 / $1,450.90	Facility		$487.74	$1,450.90	$1,450.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $1,496.74 / $2,829.92	Facility		$419.48	$1,496.74	$2,829.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $982.50 / $1,283.15	Professional		$306.22	$982.50	$1,283.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $195.06 / $513.03 / $779.69	Facility		$195.06	$513.03	$779.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $388.19 / $661.72 / $813.59	Professional		$388.19	$661.72	$813.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.66 / $677.99 / $3,157.08	Facility		$337.66	$677.99	$3,157.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $296.05 / $359.40 / $738.25	Professional		$296.05	$359.40	$738.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $316.33	Professional		$50.00	$65.00	$316.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $195.06 / $513.03 / $779.69	Facility		$195.06	$513.03	$779.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $388.19 / $661.72 / $813.59	Professional		$388.19	$661.72	$813.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $677.99 / $1,043.38 / $1,812.68	Professional		$677.99	$1,043.38	$1,812.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $1,324.20 / $3,157.08	Facility		$419.48	$1,324.20	$3,157.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $419.48 / $3,413.19	Professional		$306.22	$419.48	$3,413.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $677.99 / $677.99 / $677.99	Professional		$677.99	$677.99	$677.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $541.35 / $677.99 / $677.99	Professional		$541.35	$677.99	$677.99
United Facility/Professional Professional Modifier Low / Median / High Price $251.79 / $338.24 / $648.29	Professional		$251.79	$338.24	$648.29